<%= form_tag(:action => nil) do %>
<div class="field">
  <%= label_tag(:c, "Customer ID:") %>
  <%= text_field_tag(:c) %>
</div>
<div class="field">
  <%= label_tag(:s, "Shop ID:") %>
  <%= text_field_tag(:s) %>
</div>
<div class="field">
  <%= label_tag(:count, "Coupon count:") %>
  <%= text_field_tag(:count) %>
</div>
<div class="actions">
  <%= submit_tag("create") %>
</div>
<% end %>
